The Observation Of GuBiYiHao Formula And Tantalum Rod Implantation Combined With Core Decompression To Treat Avascular Necrosis Of Femoral Head

Objective:Discussion involving the GuBiYiHao formula united pulp core decompression tantalum rod into clinical therapeutic effects of surgical treatment of early avascular necrosis,observe the change of the hip joint function in patients with surgery and involving the bone 1 party in the promotion of the hip in postoperative hemodynamic change effect.Methods:Collected in January 2009-January 2014 in our hospital orthopaedic hospital treatment of 68 patients with early femoral head necrosis.Whether carried out in accordance with traditional Chinese medicine after topical treatment group,38 cases of femoral head necrosis in patients early after admission application acceptance bone tantalum rod implant surgery on the basis of Bi Redp topical therapy for the treatment group(Gubi Redp group);30 patients with early femoral head necrosis after admission only accept tantalum implant surgery,as the control group(conventional treatment group).Observe and record the two groups of clinical treatment effect and the contact condition of traditional Chinese medicine,the Harris rating hip function changes,through two groups of patients with pain score to assess changes in patients with pain;Using MRI to observe group and control group patients with femoral head necrosis index changes;By automatic biochemical analysis instrument for patients before and after treatment,comparing the change of the blood rheology indexes for evaluating traditional Chinese medicine(TCM)involving the bone 1 party in the promotion of the hip in postoperative hemodynamic change effect.Data selection spss19.0 for data statistics,data using mean +/-standard deviation(+/-s),measurement data using t test,group compared with paired t test,comparison between groups with independent t test,the comparison of count data by chi-square test,when P>0.05,show no difference;P<0.05,shows significant difference;Show very significant difference(P<0.01).Result:1?The treatment group and control group in gender,age,course of comparative differences between groups have no statistical significance,shows comparable;2?Medicine curative effect in observation group,treatment group 19 cases,13 cases,3 cases,3 cases,and was 84.21%;Control group 7 cases,8 cases,9 cases,6 cases,was 50.00%,comparing differences between groups was statistically significant,comparing differences between groups was statistically significant(X2 = 9.1921.P<0.05);3?Comprehensive clinical efficacy aspects,treatment group healed in 16 cases,12 cases improved,effective 6 cases,4 cases were invalid;Control group healed in 5 cases and 7 cases were improved effectively and 8 cases,10 cases of invalid,comparing differences between groups was statistically significant(X2 = 5.3337,P<5.3337);4?In improving patients with hip joint function and pain,the treatment group after treatment for 3 months Harris score(81.65+4.32)points,visual analog pain score(2.18+0.89);March Harris scores in the control group after treatment(75.32+3.38)points,visual analog pain score(3.21+1.51)points,comparison between groups was statistically significant difference(t=6.7790,6.2335,P<0.05).June the hip joint function score group after treatment(89.54 + 6.72)points,visual analog pain score(1.14+0.45)points;The control group after treatment in June the hip joint function score(79.03+4.18)points,visual analog pain score(2.51+0.95)points,comparing differences between groups was statistically significant(t=t=7.8980.8.4383,P<0.05);5.In improving patients with necrosis of the hip,June MRI necrosis index treatment group after treatment(25.76+2.11),the control group after treatment in June MRI necrosis index(28.65+4.65),comparing differences between groups was statistically significant(t=3.1572,P<3.1572);6.In improving the patients' blood viscosity,treatment group after treatment in June whole blood high shear viscosity(5.31+0.39)mPa·S,red blood cells deposited(40.68 + 1.97)%,erythrocyte sedimentation rate(13.66 +2.34)mm/h.June whole blood high shear viscosity control group after treatment(5.45+0.35)mPa·S,red blood cells deposited(41.23+2.37)%,erythrocyte sedimentation rate(13.24+0.83)mm/h,comparison between groups was statistically significant difference(t = 4.3359,10.3603,33.8654,P<0.05);Conclusion:1?Involving the GuBiYiHao formula united pulp core decompression tantalum rod implant treatment early femoral head necrosis patients can improve clinical therapeutic effect;2?Involving the GuBiYiHao formula united pulp core decompression tantalum rod implant treatment in patients with early femoral head necrosis patients can effectively improve the hip joint function,reduce the patients pain;3?Involving the bone one party united pulp core decompression tantalum rod implant treatment early MRI necrosis of femoral head necrosis patients can effectively improve index;4?Involving the GuBiYiHao formula united pulp core decompression tantalum rod implant treatment can effectively improve the blood rheology in patients with early femoral head necrosis?...